• Title/Summary/Keyword: functional assessment index

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Correlation Between Walking Ability Assessment Tools for Patients With Spinal Cord Injury Using MBI, FIM, SCIM II, WISCI, Walking Velocity, and Walking Endurance (척수손상 환자의 보행능력 검사를 위한 평가도구의 비교: MBI, FIM, SCIM II, WISCI, 보행속도, 보행지구력)

  • Lee, Hyoung-Soo;Song, Byung-Ho;Shin, Young-Il
    • Physical Therapy Korea
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    • v.13 no.2
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    • pp.1-8
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    • 2006
  • The main purposes of this study were to find the correlation between walking ability assessment tools using the Modified Barthel Index (MBI), Functional Independence Measure (FIM), Spinal Cord Injury Measurement II (SCIM II), Walking Index for Spinal Cord Injury (WISCI), walking velocity, and walking endurance. The study population consisted of 56 patients with spinal cord injury referred to the department of Rehabilitative Medicine in the National Rehabilitation Hospital. All subjects were ambulatory with or without an assistive device. All participants were assessed by MBI, FIM, SCIM II, WISCI, walking velocity, and walking endurance. The data were analyzed using Pearson correlation analysis and X2. There was significant correlation between the MBI, FIM, SCIM II, WISCI, walking velocity, and walking endurance (p<.01). In particular, WISCI has a significant correlation with SCIM II(p<.001). Therefore the WISCI scale is an appropriate assessment tool to predict the gait ability of patients with spinal cord injury. Further study about MBI, FIM, SCIM II, WISCI, walking velocity, and walking endurance is needed using a longitudinal study design.

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Improvement of Functional Assessment for Riverine Wetlands using HGM Approach (HGM 적용을 통한 하도습지의 기능평가 제고 방안 연구)

  • Yeum, Junghun;Kim, Taesung
    • Journal of Wetlands Research
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    • v.18 no.4
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    • pp.378-385
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    • 2016
  • This study aims to suggest the framework of functional assessment on lotic area based on HGM(Hydrogeomorphic) approach targeting Wetland Protected Areas which are in the type of river channel, and to set up the fundamental data as a reference wetland. A total of 10 factors in terms of hydrology, biogeochemistry, plant habitat and animal habitat was analyzed based on the original approach of HGM and each Functional Capacity Index(FCI) of those factors was calculated. As the result of the modified FCI analysis, Damyang riverine wetland which is with artificial river bank had high values in the variables of area ratio of actual vegetation in the foreland, the number of plant per area and the area ratio of Salix spp., and those values were highly reflected on the factors of Nutrient Cycling(947,668.00), Species Richness and Maintain Characteristic Plant Communites(6.39) and Maintain Spatial Structure of Habitat(11.00). The Hanbando wetland which is keeping the natural bank had higher values in the variables of structural scale and species diversity, and the those values were highly reflected on the factors of Energy Dissipation(17,805.16), Subsurface Storage of Water(0.54), Removal of Imported Elements and Compounds(103,052.73), Maintain Characteristic Detrital Biomass(2.31), Maintenance of Interspersion and Connectivity (6.50), Species Diversity of Benthic macro-invertebrates(1.60) and Species Diversity of Vertebrate & Species Number of Other Animals(2.52/ 151.50), compared to the Damyang Riverine Wetland.

Longitudinal Study on the Profiles of Symptom Distress and Functional Status in Gynecologic Cancer Patients Receiving Chemotherapy (항암화학요법을 받는 부인암 환자의 종단적 건강문제 변화양상 분석)

  • Chung, Chae-Weon
    • Women's Health Nursing
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    • v.12 no.1
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    • pp.53-60
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    • 2006
  • Purpose: This study aimed to explore changes in symptom distress and functional status in gynecologic cancer patients during the entire treatment cycles of chemotherapy. Methods: A prospective and longitudinal study with repeated measures was designed. Symptom Distress Scale and Karnofsky Performance Status Index were included in a daily log developed for self-administration. A total of 39 patients with a mean age of 48.4 years participated. Results: The levels of symptom distress and functional status changed significantly over the six cycles. Symptom distress kept increasing until its peak at the fourth cycle, while the functional status scored lowest at the first cycle, then it improved as the cycle repeated. In each cycle, symptom distress was marked higher during the first 6 days accompanying poor functional status. However, both changes did not recover completely until the end of each cycle. Conclusion: Nursing assessment and intervention need to be provided based on these changing patterns to help cancer patients cope and adjust successfully during the long treatment period. Further studies are needed to examine the impact of the major symptoms on psychological responses, quality of life, and outcomes of the cancer treatments.

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Awareness and satisfaction of therapeutic goals on functional status in persons with hemiparetic stroke

  • Ahn, Si-Nae;Lee, Jeong-Weon;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • v.7 no.1
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    • pp.1-5
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    • 2018
  • Objective: Setting therapeutic goals assist to identify patient priorities and predict problem that may arise in performing daily and functional activities. Goal setting is associated with improved rehabilitation outcomes in individuals with hemiparetic stroke. This study was conducted to assess the effects of having awareness and satisfaction of goals on the functional status of individuals with hemiparetic stroke. Design: Cross-sectional study. Methods: Eighty-one people who had been diagnosed with stroke participated in this study. The study was conducted through a face-to-face surveys to identify participants' awareness and satisfaction of goals and standard assessment tools were used to evaluate patients' functional status. This study measured functional status through three clinical measures including the manual function test (MFT), Berg Balance scale (BBS), and modified Barthel index (MBI). Results: In participants with hemiparetic stroke, the MBI, BBS, and MFT scores were significantly higher in the participants who were aware of the therapeutic goal than in those who were unaware (p<0.05). The MBI, BBS, and MFT scores were not significant between the participants who were satisfied with the goal and those who were unsatisfied. Conclusions: This study suggests that having awareness in therapeutic goal-setting could lead to improvement of functional status in those with hemiparetic stroke. This study highlights how goal-setting can have a positive effect on persons with hemiparetic stroke.

Comparison of the Functional Recovery of Stroke Patients Treated with Eastern-Western Integrative Medical Care and Western Single Rehabilitation Therapy (뇌졸중 환자에서 한양방협진과 양방단독 재활치료의 기능 회복 비교)

  • Kim, Min-su;Yun, Jong-min
    • The Journal of Internal Korean Medicine
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    • v.37 no.4
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    • pp.645-652
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    • 2016
  • Objectives: To compare the effects of Eastern-Western integrative medical care (EWIM) and Western single rehabilitation therapy (WSRT) on the functional recovery of stroke patients.Methods: Seventy-six stroke patients were recruited retrospectively. The participants were divided into two groups: EWIM and WSRT. Data on age, sex, stroke-related risk factors, stroke type, neurological deficits according to the National Institutes of Health Stroke Scale (NIHSS), elapsed time to the initiation of rehabilitation, duration from the onset to follow up, initial functional status, and function after therapy for 3 mon were obtained from a review of the patients’ medical records. Between-group differences in functional outcomes were analyzed before and after treatment using the functional ambulation category (FAC), Fugl-Meyer assessment (FMA), modified Barthel Index-Korean version (K-MBI), and Euro-Quality of Life-5 Dimension (EQ-5D).Results: At 3-mon poststroke, all the functional outcome measures had improved in both groups (P<0.05). However, the improvements were greater in the EWIM group, and the improvement was statistically significant in the K-MBI (P=0.048) and EQ-5D (P=0.042).Conclusions: With respect to activities of daily living and health-related quality of life, EWIM is a more effective stroke therapy than WSRT.

Effects of Lower Limb Exercise Program on the Backrest Chair in College Students with Low Back Pain (등받이 유무에 따른 하지 운동프로그램이 허리통증이 있는 대학생들에게 미치는 영향)

  • Kim, Yoon-Hwan;Seo, Tae-Hwa
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.469-476
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    • 2020
  • This study was conducted on college students with low back pain to find out how a backrest exercise program affects the pain and balance of students. Thirty-two students at K University in Gwangju City were randomly classified with backrests and without backrests group respectively. Each group conducted the program for lasted three times a week for a total of 30 minutes for four weeks. Visual Analog Scale (VAS) was measured for pain assessment before and after arbitration, and the Korean Oswestry Disability Index (KODI) was measured for functional disability assessment. TETRAX is used to measure the weight distribution index and posture stability. According to the results of the experiment, the Visual Analog Scale (VAS) and the Korean Oswestry Disability Index (KODI) and weight distribution index showed significant differences over time, but the posture stability was no significant difference. The results of this study show that the lower limb exercise program is effective in back pain, dysfunction and weight distribution index, and it is believed that the pain reduction is significant when performed by distal movement in the area of back pain, It can be applied effectively to reduce low back pain in college students who spend a lot of time sitting down.

Proposal of Functional Assessment for Wetland-type Abandoned Channel (습지형 구하도의 기능평가 제안)

  • Kang, Su Jin;Kang, Joon Gu;Hong, Il;Yeo, Hong Koo
    • Journal of Wetlands Research
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    • v.14 no.4
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    • pp.547-559
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    • 2012
  • Abandoned channel is vestiges of running in the past. Abandoned channels have been formed mostly by artificial river maintenance through channel straightening in Korea. Managed properly, these now abandoned channels can provide habitat for wildlife, maintain biodiversity of aquatic life, security against flooding and recreation area for human. However, because the areas are officially classified as abandoned, the channels is collapsing and decaying from years of neglect. This study suggested functional assessment for wetland-type abandoned channel in order to provide appropriate management and investment. For this reason, The study will examine and evaluate these channels with regard to the following four major criteria (Natureless, Habitat, Water-friendliness and Water quality) and 21 indices. Consequently, abandoned channel in two Nakdong river sites, site 1 was needed for protection or improvement in the medium to longer term, while site 2 was in good condition. This evaluation method will be helpful to manage wetland-type abandoned channel in Korea and will be able to use National River Health Program.

Effect of Taping and Virtual Reality Combined Exercise on Static and Dynamic Balance With Functional Ankle Instability

  • Kim, Ki-jong;Gang, Mi-yeong
    • Physical Therapy Korea
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    • v.27 no.4
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    • pp.292-297
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    • 2020
  • Background: Ankle sprain is one of the most common musculoskeletal injuries in the sports population or during usual daily life activities. The sprain can cause functional ankle instability (FAI), and it is very important to treat FAI. However, the optimum intervention method for FAI has yet to be determined. Objects: This study investigated the impact that virtual reality (VR) training program on balance with ankle kinesio taping for FAI. Methods: Twenty-two people were selected for the study and randomly divided into the experimental (n = 11) and the control group (n = 11). The experimental group had attached kinesio taping on the ankle and then implemented a virtual reality exercise program for 30 minutes a day. Nintendo Wii Fit Plus was used for the VR intervention three times a week for four weeks. The control group performed only two measurements without intervention. Results: There were no statistically significant differences in overall, anterior-posterior (AP), medial-lateral (ML) index of the static balance, and significant differences in overall, AP, ML index of the dynamic balance when taping and VR exercise were applied at the same time (p < 0.05). There were no significant differences in overall and ML index of static and dynamic balance compared with before and after assessment between the experimental and the control group, and found differences in AP index of static and dynamic balance (p < 0.05). Conclusion: Kinesio taping may not influence the balance of FAI as great as people expected. VR approach does not affect the static balance of FAI, but it influences dynamic balance in overall, AP, ML index. The authors suggest that VR-based exercises can be used as an additional concept in clinicians for FAI or as part of a home program because the exercises still have limitations.

The Safety Assessment of Small WIG Craft in the 20-Passenger Class (20인승급 소형 위그선의 안전성 평가)

  • Lee, Soon-Sup;Lee, Jong-Kap
    • Journal of the Society of Naval Architects of Korea
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    • v.46 no.2
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    • pp.179-188
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    • 2009
  • WIG crafts are a high speed vessel with features of dynamic supported craft. These crafts, which are predominantly of light weight and operate any substantially greater speeds than conventional craft such as bulk carrier, tanker, container ship, etc., could not be accommodated under traditional maritime safety instruments. It means that there is the need for risk and safety levels to be assessed on a holistic basis, recognizing that high levels of operator training, comprehensive and thoroughly implemented procedures, high levels of automation and sophisticated software can all make significant contributions to risk reduction. To response this requirement, the Interim Guideline for WIG craft(MSC/Circ.1054) were developed in the view of the configuration of WIG craft, which fall between the maritime and aviation regulatory regimes. This paper reviews a safety assessment process and methodology to be used in the design phase of a new ship. The process and methodology is based on the risk-based approach and is applied to safety assessment in concept development phase of small WIG craft in the 20-person class.

Characterizing Responses of Biological Trait and Functional Diversity of Benthic Macroinvertebrates to Environmental Variables to Develop Aquatic Ecosystem Health Assessment Index (환경변이에 대한 저서성 대형무척추동물의 생물학적 형질과 기능적 다양성 분석: 수생태계 건강성 평가 관점에서)

  • Moon, Mi Young;Ji, Chang Woo;Lee, Dae-Seong;Lee, Da-Yeong;Hwang, Soon-Jin;Noh, Seong-Yu;Kwak, Ihn-Sil;Park, Young-Seuk
    • Korean Journal of Ecology and Environment
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    • v.53 no.1
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    • pp.31-45
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    • 2020
  • The biological indices based on the community structure with species richness and/or abundance are commonly used to assess aquatic ecosystem health. Meanwhile, recently functional traits-based approach is considered in ecosystem health assessment to reflect ecosystem functioning. In this study, we developed a database of biological traits for 136 taxa consisting of major stream insects (Ephemeroptera, Plecoptera, Trichoptera, Coleoptera, and Odonata) collected at Korean streams on the nationwide scale. In addition, we obtained environmental variables in five categories (geography, climate, land use, hydrology and physicochemistry) measured at each sampling site. We evaluated the relationships between community indices based on taxonomic diversity and functional diversity estimated from biological traits. We classified sampling sites based on similarities of their environmental variables and evaluated relations between clusters of sampling sites and diversity indices and biological traits. Our results showed that functional diversity was highly correlated with Shannon diversity index and species richness. The six clusters of sampling sites defined by a hierarchical cluster analysis reflected differences of their environmental variables. Samples in cluster 1 were mostly from high altitude areas, whereas samples in cluster 6 were from lowland areas. Non-metric multidimensional scaling (NMDS) displayed similar patterns with cluster analysis and presented variation of taxonomic diversity and functional diversity. Based on NMDS and community-weighted mean trait value matrix, species in clusters 1-3 displayed the resistance strategy in the life history strategy to the environmental variables whereas species in clusters 4-6 presented the resilience strategy. These results suggest that functional diversity can complement the biological monitoring assessment based on taxonomic diversity and can be used as biological monitoring assessment tool reflecting changes of ecosystem functioning responding to environmental changes.